Epiphany Psychological Services, PA

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

3563 Issued in NC

Legal business name

EPIPHANY PSYCHOLOGICAL SERVICES, PA

Practice address

103 Climbing Ivy CT
Cary, NC 27511-2708

Phone

(919) 327-8774

NPI assigned

Jun 28, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Miyoshi Umeki Jones-Tunstall, LPA, HSP-PA

Title

Owner/Psychotherapist

Phone

(919) 327-8774

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214611200000",
    "number": "1083876270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 MORSON ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276011559",
            "telephone_number": "919-327-8774",
            "fax_number": "919-838-6743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 CLIMBING IVY CT",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275112708",
            "telephone_number": "919-327-8774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPIPHANY PSYCHOLOGICAL SERVICES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-28",
        "last_updated": "2008-06-28",
        "status": "A",
        "authorized_official_last_name": "JONES-TUNSTALL",
        "authorized_official_first_name": "MIYOSHI",
        "authorized_official_middle_name": "UMEKI",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "919-327-8774",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPA, HSP-PA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "3563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Cary, NC
• Providers in Cary, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.